NPI: 1164949624 · RIPLEY, MS 38663 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,257 | $31K |
| 2019 | 2,064 | $56K |
| 2020 | 1,676 | $42K |
| 2021 | 1,600 | $40K |
| 2022 | 3,346 | $46K |
| 2023 | 5,706 | $68K |
| 2024 | 3,586 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 4,113 | 3,355 | $178K | |
| 99214 | 1,303 | 1,059 | $64K | |
| 99203 | 478 | 409 | $27K | |
| 99051 | 1,869 | 1,533 | $13K | |
| 87428 | 1,027 | 867 | $12K | |
| 87804 | 3,083 | 1,237 | $10K | |
| 87880 | 2,065 | 1,653 | $7K | |
| 99212 | 213 | 179 | $6K | |
| 96372 | 1,074 | 797 | $6K | |
| 99202 | 163 | 135 | $6K | |
| 87426 | 1,352 | 1,061 | $6K | |
| 87430 | 1,052 | 894 | $1K | |
| 99204 | 14 | 14 | $515.46 | |
| 87420 | 123 | 95 | $242.23 | |
| 87807 | 70 | 50 | $136.45 | |
| J0696 | Ceftriaxone sodium injection | 583 | 447 | $59.06 |
| J1100 | Dexamethasone sodium phos | 653 | 498 | $11.11 |